外科加護病房重症病患健康相關生活品質分析

目的：本研究以前瞻式觀察型研究探討外科加護病房重症病患長期健康相關生活品質趨勢變化，並探討影響重症病患健康相關生活品質的因素。方法：本研究以98年1月至10月入住義大醫院外科加護病房超過24小時且存活的重症成人病患爲研究對象，利用SF-36健康相關生活品質評量問卷進行爲期六個月的前瞻式觀察性研究。結果：研究期間共302位重症病患納入本研究，其入住加護病房第一個月時所有健康相關生活品質的八個層面分數包括身體生理功能、因生理功能角色受限、身體疼痛、一般健康、活力、社會功能、因情緒角色受限、心理健康在較住院前明顯下降。但除了因生理功能角色受限層面外，其他七個層面隨後在住院第三個月到第六個月後回複至生病前的水準。年紀較輕、總住院日數較短、加護病房住院日數較長、及疾病嚴重度較輕的重症病患其生理健康相關生活品質回復較快。結論：重症病患健康相關生活品質爲一動態變化過程，在病患入住加護病房後明顯下降，但多在生病後三至六個月內回復。年齡，住院日數、及疾病嚴重度將會影響健康相關生活品質回復的重要因素。

關鍵字

健康相關生活品質；加護病房；重症病患；外科

並列摘要

Objective: To access health-related quality of life (HRQoL) of critically ill patients in surgical intensive care units (ICUs).Methods: A prospective, observational design was conducted and the adult patients who stayed more than 24 hours and survived in two surgical ICUs of a university hospital between January 1, 2009 and October 31, 2009 were enrolled. The HRQoL of the study subjects was assessed using a generic instrument, the Medical Outcomes Study Short Form-36 Health Survey (SF-36) at pre-admission, and followed up at 1, 3, and 6 months after ICUs admission.Results: A total of 302 subjects were enrolled and the results showed all eight domains of SF-36 at 1st month deteriorated compared with those at preadmission, but returned to baseline at 3rd to 6th months thereafter except the domain of role limitation due to physical problems. Young age, shorter ICU length of stay, longer total length of stay, and lower APACHE-Ⅱ score were associated with the early recovery of physical components of HRQoL.Conclusions: The HRQoL is a dynamic process for critically ill patients in surgical ICUs, with most of functions deteriorating during ICU admission and improving to baseline 3 to 6 months later. Age, length of stay, and disease severity are important determinants of HRQoL recovery.

並列關鍵字

Health-related quality of life ； Intensive care unit ； Critically ill patient ； Surgery

國際替代計量

外科加護病房重症病患健康相關生活品質分析

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